Inferior epigastric artery injury after percutaneous imaging-guided peritoneal dialysis catheter placement

Inferior epigastric artery (IEA) injury is a rare clinical entity that is usually associated with abdominal wall procedures and injuries though can also be spontaneous, particularly in individuals with coagulopathy. Of all described mechanisms of injury, percutaneous peritoneal dialysis (PD) cathete...

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Autores principales:	Emily A Dryer, DO, Masa Abaza, BS, Ammar Almehmi, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Peritoneal dialysis catheter Embolization Inferior epigastric artery Iatrogenic arterial injury Hemoperitoneum Imaging Guidance Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/204f45ab970a49c094d289acc5a1d48e
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spelling	oai:doaj.org-article:204f45ab970a49c094d289acc5a1d48e2021-11-28T04:29:44ZInferior epigastric artery injury after percutaneous imaging-guided peritoneal dialysis catheter placement1930-043310.1016/j.radcr.2021.10.055https://doaj.org/article/204f45ab970a49c094d289acc5a1d48e2022-02-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007718https://doaj.org/toc/1930-0433Inferior epigastric artery (IEA) injury is a rare clinical entity that is usually associated with abdominal wall procedures and injuries though can also be spontaneous, particularly in individuals with coagulopathy. Of all described mechanisms of injury, percutaneous peritoneal dialysis (PD) catheter insertion is a rarely encountered, particularly in instances where insertion is performed under imaging guidance. While this injury is self-limited, it can be associated with hemodynamic instability and acute blood loss anemia, which can be fatal if left untreated. Computed tomographic (CT) angiography is the diagnostic method of choice. Transcatheter arterial embolization is an effective treatment modality with a high success rate. Here, we describe a 41-year-old female who underwent percutaneous PD catheter insertion that, despite intraprocedural imaging guidance, was complicated by large hemoperitoneum and clinical instability. Prompt identification of IEA injury followed by immediate intervention with coil embolization led to a successful outcome for this patient in the setting of a life-threatening uncommon complication of such procedure. The details of the diagnostic evaluation and management are outlined.Emily A Dryer, DOMasa Abaza, BSAmmar Almehmi, MDElsevierarticlePeritoneal dialysis catheterEmbolizationInferior epigastric arteryIatrogenic arterial injuryHemoperitoneumImaging GuidanceMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 2, Pp 332-335 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Peritoneal dialysis catheter Embolization Inferior epigastric artery Iatrogenic arterial injury Hemoperitoneum Imaging Guidance Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Peritoneal dialysis catheter Embolization Inferior epigastric artery Iatrogenic arterial injury Hemoperitoneum Imaging Guidance Medical physics. Medical radiology. Nuclear medicine R895-920 Emily A Dryer, DO Masa Abaza, BS Ammar Almehmi, MD Inferior epigastric artery injury after percutaneous imaging-guided peritoneal dialysis catheter placement
description	Inferior epigastric artery (IEA) injury is a rare clinical entity that is usually associated with abdominal wall procedures and injuries though can also be spontaneous, particularly in individuals with coagulopathy. Of all described mechanisms of injury, percutaneous peritoneal dialysis (PD) catheter insertion is a rarely encountered, particularly in instances where insertion is performed under imaging guidance. While this injury is self-limited, it can be associated with hemodynamic instability and acute blood loss anemia, which can be fatal if left untreated. Computed tomographic (CT) angiography is the diagnostic method of choice. Transcatheter arterial embolization is an effective treatment modality with a high success rate. Here, we describe a 41-year-old female who underwent percutaneous PD catheter insertion that, despite intraprocedural imaging guidance, was complicated by large hemoperitoneum and clinical instability. Prompt identification of IEA injury followed by immediate intervention with coil embolization led to a successful outcome for this patient in the setting of a life-threatening uncommon complication of such procedure. The details of the diagnostic evaluation and management are outlined.
format	article
author	Emily A Dryer, DO Masa Abaza, BS Ammar Almehmi, MD
author_facet	Emily A Dryer, DO Masa Abaza, BS Ammar Almehmi, MD
author_sort	Emily A Dryer, DO
title	Inferior epigastric artery injury after percutaneous imaging-guided peritoneal dialysis catheter placement
title_short	Inferior epigastric artery injury after percutaneous imaging-guided peritoneal dialysis catheter placement
title_full	Inferior epigastric artery injury after percutaneous imaging-guided peritoneal dialysis catheter placement
title_fullStr	Inferior epigastric artery injury after percutaneous imaging-guided peritoneal dialysis catheter placement
title_full_unstemmed	Inferior epigastric artery injury after percutaneous imaging-guided peritoneal dialysis catheter placement
title_sort	inferior epigastric artery injury after percutaneous imaging-guided peritoneal dialysis catheter placement
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/204f45ab970a49c094d289acc5a1d48e
work_keys_str_mv	AT emilyadryerdo inferiorepigastricarteryinjuryafterpercutaneousimagingguidedperitonealdialysiscatheterplacement AT masaabazabs inferiorepigastricarteryinjuryafterpercutaneousimagingguidedperitonealdialysiscatheterplacement AT ammaralmehmimd inferiorepigastricarteryinjuryafterpercutaneousimagingguidedperitonealdialysiscatheterplacement
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Inferior epigastric artery injury after percutaneous imaging-guided peritoneal dialysis catheter placement

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